The nurse has palpated a lump in a female patient's right breast. The nurse documents this as a small, round, firm, distinct, lump located at 2 o'clock, 2 cm from the nipple. It is nontender and fixed
No associated retraction of the skin or nipple, no erythema, and no axillary lymphadenopathy are observed. What information is missing from the documentation?
a.
Shape of the lump
b.
Consistency of the lump
c.
Size of the lump
d.
Whether the lump is solitary or multiple
ANS: C
If the nurse feels a lump or mass, then he or she should note these characteristics: (1) location, (2) sizeâ€"judge in centimeters in three dimensions: width × length × thickness, (3) shape, (4) consistency, (5) motility, (6) distinctness, (7) nipple, (8) the skin over the lump, (9) tenderness, and (10) lymphadenopathy.
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A client who was widowed 18 months ago is seen in the internal medicine office. She mentions that she started crying when she came across a picture of her late husband. An appropriate response for the nurse would be:
1. "It seems to be a long time for you to still be crying. Have you considered counseling?" 2. "It is very normal for anniversaries, pictures, and holidays to trigger feelings of loss." 3. "Do you have a pet? Pets often can help people move on from a loss." 4. "Are you keeping busy? You need to develop new interests to keep from crying."
The nurse explains that the diagnostic test that can scan the chest and the abdomen in less than 30 seconds is the _____________ _____
ANS:
A 29-year-old man is going on a company-sponsored deep-sea fishing trip in 2 weeks. He comes to the clinic requesting a scopolamine patch because he is afraid that he will get seasick
The medication is prescribed for him and the nurse's instructions concerning use of the patch will include what? A) "Shave the area before applying the patch. B) "The patch's effectiveness will last about 72 hours. C) "When replacing the patch, apply the new patch in the same area. D) "Do not clean the application area before applying the patch.
Nurses on the unit are discussing their current staffing pattern on the day shift, how it relates to legislation in California, and relevant research about this subject
Which of the following statements by the nurse indicates that further education regarding this subject is required? 1. "These research studies can positively impact our ability to provide safe and effective client care." 2. "Plenty of meaningful research studies have already been done on this subject, and they all validate the need for very specific nurse-to-client ratios." 3. "Research studies are currently being conducted to determine how staffing patterns affect specific client outcome data." 4. "It will be interesting to examine the results of the studies to see how well specific nursing interventions affect client outcomes."